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�EQUOIA ANALYTICAL )k680 Chesa a Drive - Redwood City, CA 94063 - (650) 364-9600 FAX (650) 9233 <br /> C1819 Striker, Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 900 <br /> S/ CHAIN OF CUSTODY ❑ 404 N Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> z r ❑ 1455 McDowell Blvd North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> NameProject Name f., .i - <br /> Mailing Address -73 �`< i � �,f �� S billing Address (if different) � tj r�nE <br /> City State 64 zip Code 9V9j,9 I ar_,cQ Ea <br /> Telephone `tL-- «5J FAX #tf//5) yrZ--/�54, PO # <br /> Report To ✓,1,Y,7 R ,s 41 =amplerQC Data �9,Leve1 D (Standard) ❑ Level C E2Level B L1Level A <br /> Turnaround D&10 Working Days ❑3 Working Days ❑ 2-8 Hours ❑ Drinking Water Analyses Requested <br /> IL <br /> Time 0 7 Working Days ©2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑ 24 Hours ❑Other <br /> Client Date/Time Matrix # of Cant Sequoia's F Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 2 — wl sh.,4ri a <br /> v <br /> 3 <br /> 4 <br /> 5 <br /> �1 6 <br /> 7 <br /> c <br /> 8 U <br /> a <br /> 10 <br /> „ Relinquished By Date r r- Time l o Received By �`,f.- 5� `3 -0 Time <br /> Relinquished By Date Time Received Byn r Date;,.}-((= � Time <br /> Relinquished By Date f r(/ Tim00 Received By Lab Time <br /> re Samples Received in Good Condition? ❑Yes © No Samples on Ice? Ct Yes ❑ No Method of Shipment Page_of_ <br /> I <br />